Provider Demographics
NPI:1548880636
Name:HAMIK FAMILY PHARMACY INC LTC
Entity type:Organization
Organization Name:HAMIK FAMILY PHARMACY INC LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ELLIOT
Authorized Official - Last Name:WEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-382-3784
Mailing Address - Street 1:2105 S LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68801-8217
Mailing Address - Country:US
Mailing Address - Phone:308-382-3784
Mailing Address - Fax:308-382-4526
Practice Address - Street 1:2105 S LOCUST ST
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68801-8217
Practice Address - Country:US
Practice Address - Phone:308-382-3784
Practice Address - Fax:308-382-4526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100262802-22Medicaid